FA Bugs with Exotoxins I Flashcards
Pharyngitis with pseudomembranes in throat and severe LAD (bull neck)
Corynebacterium diphtheriae
ADP ribosylating A-B toxin
Diphtheria toxin OR exotoxin A (pseudomonas)
What does the B component of the diphtheria toxin do?
(Binding) binds to host cell surface receptor, enabling endocytosis
What does the A component of the diphtheria toxin do?
(Active) attaches ADP-riboxyl to disrupt host cell proteins
What is the mechanism of diphtheria toxin?
Inactivate elongation factor (EF-2), thus inhibiting protein synthesis
With what bug is exotoxin A associated?
Pseudomondas aeuruginosa
What is the manifestation of exotoxin A action?
Host cell death
What is the mechanism of exotoxin A?
Inactivate EF-2 –> inhibit protein synthesis
What is the mechanism of Shiga toxin (ST)?
Inactivate 60S ribosome by removing adenine from rRNA
What does Shiga toxin do?
GI mucosal damage –> dysentery ST also enhances cytokine release, causing HUS
With what bug is Shiga-like toxin (SLT) associated
EHEC (incl O157:H7)
What is the mechanism of SLT?
Inactivate 60S ribosome by removing adenine from rRNA
What toxins inactivate 60S ribosome by removing adenine from rRNA?
Shiga and shiga-like toxins
What does SLT do?
Enhances cytokine release, causing HUS; unlike shigella, SLT does NOT invade host cells
What three bugs are associated with exotoxins that increase fluid secretion?
ETEC, bacillus anthracis, vibrio cholerae